institution
Peterson Family Care Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, Virginia
NPI 1912062860

Peterson Family Care Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Portsmouth, VA. Peterson Family Care Center practices in Portsmouth, VA. The NPI Number for Peterson Family Care Center is 1912062860 and holds a License No. (Virginia).

The current practice location address for Peterson Family Care Center is 1632 Elm Ave, Portsmouth, VA and can be reached out via phone at 757-399-1924. You can also correspond with Peterson Family Care Center through the mailing address at 1632 ELM AVE, PORTSMOUTH, VA - 23704-4508 (mailing address contact number: 757-399-1924).

Location: 1632 Elm Ave, Portsmouth, VA, 23704-4508
institution
Provider Profile Details
NPI Number
1912062860
Provider Name
Peterson Family Care Center
Credential
Provider Entity Type
Organization
Address
1632 Elm Ave, Portsmouth, VA, 23704-4508
Phone Number
757-399-1924
Fax Number
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1632 Elm Ave
City
State
Zip
23704-4508
Phone Number
757-399-1924
Fax Number
person
Provider Business Mailing Address Details
Address
1632 Elm Ave
City
State
Zip
23704-4508
Phone Number
757-399-1924
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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